Maksiller santral kesici dişin flepsiz cerrahi teknik, zirkonyum abutment ve tam seramik kron ile estetik rehabilitasyonu
Öz
Aesthetic rehabilitation of a maxillary central incisor can be a challenge. A proper surgical treatment modality and a systematic prosthodontic approach with the advanced dental materials are
essential in achieving a predictable and a successful outcome. Recently, advances in dental materials technology have led to the introduction of zirconium-oxide abutments in conjunction with
all-ceramic restorations. This case report presents how a flapless surgical technique can maintain a natural hard and soft tissue architecture, whilst a provisional and a final restoration allow for an aesthetic, precise-fitting, biocompatible and a strong definitive prosthesis for the patient with good longevity. A 57 year-old female patient with a hopeless maxillary left central incisor requested dental therapy. The central incisor was atraumatically extracted and a 4.1-mm-diameter bone level implant was placed approximately 2 mm below the cemento-enamel junction of the future cervical margin. After the healing time, a screw-retained provisional restoration was used to achieve natural and aesthetic gingival contours. Prefabricate zirconium abutment and lithiumdisilicate glass ceramic crown were used for the final rehabilitation. As a result, a flapless surgical technique along with a zirconium abutment and a full-ceramic crown combining with soft tissue contouring procedure through the use of provisional restoration may be beneficial in achieving excellent results in an aesthetically demanding area.
Anahtar Kelimeler
Kaynakça
- Mahn DH, Polack MA. Esthetic rehabilitation of maxillary incisors in conjunction with flapless surgical techniques, an implant zirconia crown, and porcelain veneers. J Esthet Restor Dent 2009;21:294-302.
- Schneider R. Implant replacement of the maxillary central incisor utilizing a (Thommen SPI ART) and ceramic restoration. J Esthet Restor Dent ;20:21-27. abutment Petrungaro PS. Immediate restoration of implants utilizing a flapless approach to preserve interdental tissue contours. Pract Proced Aesthet Dent 2005;17:151-158. Saadoun AP, Le Gall MG.
- Periodontal implications in implant treatment planning for aesthetic results. Pract Periodontics Aesthet Dent 1998;10:655-664. Kan JY, Rungcharassaeng K. Immediate provisionalizaton anterior single implants: a surgical and prosthetic rationale. Periodontics ;12:817-824. of maxillary Pract Dent Aesthet
- Park SE, Da Silva JD, Weber HP, Ishikawa-Nagai phenomenon of peri-implant soft tissue. Part I. Spectrophotometric assessment of natural tooth gingiva and peri-implant mucosa. Clin Oral Implants Res 2007;18:569-574.
- Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Schärer P. Experimental zirconia abutments for implant-supported restorations single-tooth demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont 2004;17:285-290.
- Yildirim M, Edelhoff D, Hanisch O, Spiekermann H. Ceramic abutments - a new era in achieving optimal esthetics in implant dentistry. Int J Periodontics ;20:81-91. Dent Jemt T. Modified single and short- span restorations supported by osseointegrated fixtures in the partially edentulous jaw. J Prosthet Dent 1986;55:243-247.
- Sadoun M, Perelmuter S. Alumina- zirconia machinable abutments for implant-supported anterior crowns. Pract Periodontics Aesthet Dent 1997;9:1047-1053.
- Vigolo P, Fonzi F, Majzoub Z, Cordioli G. An in vitro evaluation of titanium, zirconia, and alumina procera abutments with hexagonal connection. Int J Oral Maxillofac Implants 2006;21:575-580.
- Garine WN, Funkenbusch PD, Ercoli C, Wodenscheck J, Murphy WC. Measurement of the rotational misfit and implant-abutment gap of all- ceramic abutments. Int J Oral Maxillofac Implants 2007;22:928
- Ramfjord SF, Costich ER. Healing after exposure of periosteum on the alveolar ;39:199-207. Wood DL, Hoag PM, Donnenfeld OW, Rosenfeld LD. Alveolar crest reduction following full and partial thickness ;43:141-144. JY, Kan Rungcharassaeng K. Interimplant papilla preservation in the esthetic zone: a report of six consecutive cases. Int J Periodontics Restorative Dent 2003;23: 249-259.
- Spray JR, Black CG, Morris HF, Ochi S. The influence of bone thickness on facial marginal bone response: stage 1 placement through stage 2 uncovering. Ann Periodontol 2000;5:119-128. Maynard JG Jr, Wilson RD. the the periodontium restorative dentist. J Periodontol ;50:170-174. of to
- Sailer I, Zembic A, Jung RE, Siegenthaler D, Holderegger C, Hämmerle controlled clinical trial of customized zirconia abutments for canine and posterior single-tooth implant reconstructions: preliminary results at 1 year of function. Clin Oral Implants Res ;20:219-225. Sailer I, Philipp A, Zembic A, Pjetursson Zwahlen M. A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions. Clin Oral Implants Res 2009;20:4-31. CH,
- Zembic A, Sailer I, Jung RE, CH. Hämmerle controlled clinical trial of customized zirconia abutments for single-tooth implants in canine and posterior regions: 3-year results. Clin Oral Implants Res ;20:802-808. Randomized- and titanium implant
Maksiller santral kesici dişin flepsiz cerrahi teknik, zirkonyum abutment ve tam seramik kron ile estetik rehabilitasyonu
Öz
Maksiller santral kesicidişin estetik rehabilitasyonu zorlu olabilir. Güvenilir ve başarılı bir sonuç elde etmede, uygun cerrahi model ve sistematik protetik yaklaşım kritiktir. Günümüzde, dental materyal teknolojisindeki hızlı gelişmeler, zirkonyum-oksit abutmentlar ve tam seramik sistemlerin tanıtımına da olanak sağladı. Bu vaka sunumunda, flepsiz cerrahi teknik ile sert ve yumuşak doku yapısınınkorunması, bununla birlikte, geçici ve daimi restorasyonlar ile estetik, marjinal ve biyolojik olarak uyumlu, hasta için uzun dönemli protetik tedavinin elde edilmesi anlatılmaktadır. 57 yaşında bayan hasta, maksiller sol santral dişin tedavisi için kliniğimize başvurdu. Konvansiyonel yöntemlerle tedavi edilemeyen diş çekilerek, bu bölgeye, flepsiz cerrahi teknik ile 4.1 mm. çapında kemik seviyesi implant, hedef servikal marjinin 2 mm. altında olacak şekilde yerleştirildi. İyileşmeyi takiben, doğal ve estetik gingiva konturlarının elde edilmesi için geçici vidalı abutment ve akrilik restorasyon uygulandı. Daimi restorasyon için ise zirkonyum-oksit abutment ve lityum-disilikat cam seramik porselen hazırlandı. Flepsiz cerrahi teknik ile beraber, yumuşak dokuların şekillenmesi amacıyla kullanılan geçici restorasyon, zirkonyum-oksit abutment ve tam seramik porselen ile multidisipliner tedavi yaklaşımı, estetiğin önemli olduğu bölgelerde mükemmel sonuçlar elde edilmesinde yararlı olabilir.
Anahtar Kelimeler
Kaynakça
- Mahn DH, Polack MA. Esthetic rehabilitation of maxillary incisors in conjunction with flapless surgical techniques, an implant zirconia crown, and porcelain veneers. J Esthet Restor Dent 2009;21:294-302.
- Schneider R. Implant replacement of the maxillary central incisor utilizing a (Thommen SPI ART) and ceramic restoration. J Esthet Restor Dent ;20:21-27. abutment Petrungaro PS. Immediate restoration of implants utilizing a flapless approach to preserve interdental tissue contours. Pract Proced Aesthet Dent 2005;17:151-158. Saadoun AP, Le Gall MG.
- Periodontal implications in implant treatment planning for aesthetic results. Pract Periodontics Aesthet Dent 1998;10:655-664. Kan JY, Rungcharassaeng K. Immediate provisionalizaton anterior single implants: a surgical and prosthetic rationale. Periodontics ;12:817-824. of maxillary Pract Dent Aesthet
- Park SE, Da Silva JD, Weber HP, Ishikawa-Nagai phenomenon of peri-implant soft tissue. Part I. Spectrophotometric assessment of natural tooth gingiva and peri-implant mucosa. Clin Oral Implants Res 2007;18:569-574.
- Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Schärer P. Experimental zirconia abutments for implant-supported restorations single-tooth demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont 2004;17:285-290.
- Yildirim M, Edelhoff D, Hanisch O, Spiekermann H. Ceramic abutments - a new era in achieving optimal esthetics in implant dentistry. Int J Periodontics ;20:81-91. Dent Jemt T. Modified single and short- span restorations supported by osseointegrated fixtures in the partially edentulous jaw. J Prosthet Dent 1986;55:243-247.
- Sadoun M, Perelmuter S. Alumina- zirconia machinable abutments for implant-supported anterior crowns. Pract Periodontics Aesthet Dent 1997;9:1047-1053.
- Vigolo P, Fonzi F, Majzoub Z, Cordioli G. An in vitro evaluation of titanium, zirconia, and alumina procera abutments with hexagonal connection. Int J Oral Maxillofac Implants 2006;21:575-580.
- Garine WN, Funkenbusch PD, Ercoli C, Wodenscheck J, Murphy WC. Measurement of the rotational misfit and implant-abutment gap of all- ceramic abutments. Int J Oral Maxillofac Implants 2007;22:928
- Ramfjord SF, Costich ER. Healing after exposure of periosteum on the alveolar ;39:199-207. Wood DL, Hoag PM, Donnenfeld OW, Rosenfeld LD. Alveolar crest reduction following full and partial thickness ;43:141-144. JY, Kan Rungcharassaeng K. Interimplant papilla preservation in the esthetic zone: a report of six consecutive cases. Int J Periodontics Restorative Dent 2003;23: 249-259.
- Spray JR, Black CG, Morris HF, Ochi S. The influence of bone thickness on facial marginal bone response: stage 1 placement through stage 2 uncovering. Ann Periodontol 2000;5:119-128. Maynard JG Jr, Wilson RD. the the periodontium restorative dentist. J Periodontol ;50:170-174. of to
- Sailer I, Zembic A, Jung RE, Siegenthaler D, Holderegger C, Hämmerle controlled clinical trial of customized zirconia abutments for canine and posterior single-tooth implant reconstructions: preliminary results at 1 year of function. Clin Oral Implants Res ;20:219-225. Sailer I, Philipp A, Zembic A, Pjetursson Zwahlen M. A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions. Clin Oral Implants Res 2009;20:4-31. CH,
- Zembic A, Sailer I, Jung RE, CH. Hämmerle controlled clinical trial of customized zirconia abutments for single-tooth implants in canine and posterior regions: 3-year results. Clin Oral Implants Res ;20:802-808. Randomized- and titanium implant
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Case Reports |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Mayıs 2011 |
| Gönderilme Tarihi | 13 Ekim 2010 |
| Yayımlandığı Sayı | Yıl 2011Cilt: 14 Sayı: 2 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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